| NPI | 1376427682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 15101) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: CT 15101) |
| 363L00000X Nurse Practitioner (Licence: CT 15101) | |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-01 |